| Eastpointe Medical Clinic Inc | |
|
1506 S Broadway St Poteau OK 74953-2900 | |
| (903) 495-1105 | |
| Not Available |
| Full Name | Eastpointe Medical Clinic Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1506 S Broadway St, Poteau, Oklahoma |
| Authorized Official Name and Position | Roxann Shaw (PRESIDENT) |
| Authorized Official Contact | 9034951105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastpointe Medical Clinic Inc 1506 S Broadway St Poteau OK 74953-2900 Ph: (918) 647-7046 | Eastpointe Medical Clinic Inc 1506 S Broadway St Poteau OK 74953-2900 Ph: (903) 495-1105 |
| NPI Number | 1558733782 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558733782 | NPI | - | NPPES |
| 200633990A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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